Organization
JENS MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE SMART RT (OWNER)
(954) 579-7467
Entity
Organization
Contact information
Practice address
3768 PEBBLEBROOK MNR, COCONUT CREEK, FL 33073-2218
(954) 579-7467
Mailing address
3768 PEBBLEBROOK MNR, COCONUT CREEK, FL 33073-2218
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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